Nonalcoholic fatty liver disease NAFLD, NASH
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients aged 20 to 80 y.o 2) Outpatients diagnosed with fatty liver by abdominal ultrasonography (positive hepato-renal contrast or CAP value of 220 dB/m or more on FibroScan) during the pre-observation period (0 to 16 weeks) and have a HOMA-IR of 2.5 or higher 3) Patients who have written consent to participate in this study
Exclusion criteria
Exclusion criteria: 1. Patients with ethanol consumption > 20 g/day for women and > 30 g/d for men 2. Patients who are being treated for chronic liver disease other than steatohepatitis 3. Liver cirrhosis and/or high-risk case of hepatic encephalopathy 4. Patients treated with insulin 5. Patients with severe ketosis, diabetic coma or precoma, of type 1 diabetes 6. Women that might be pregnant or pregnancy 7. Patients with schizophrenia 8. Patients allergic to milk and/or dairy products 9. Patients judged to be ineligible by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in HOMA-IR value (fasting insulin level (uU /ml) x fasting blood glucose level (mg /dl) /405) 2 weeks after administration from baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood glucose level and serum insulin, glucagon and C-peptide immunoreativity levels during 75g OGTT, Change of serum AST, ALT, ALP, gGTP, the markers for inflammation (high sensitive CRP, TNFa), total cholesterol, HDL-cholesterol, LDL-cholesterol, triacylglycerol (TG), non-esterified fatty acid, CAP, liver stiffness, body weight, BMI, muscle mass, water volume, visceral fat amount, skeletal muscle mass index (SMI) and adverse effects. | — |
Contacts
Juntendo University Hospital